1. Volume 77, Issue 4, Pages 359-366 (February 2010)
The MILLER banding procedure is an effective method for treating dialysis-associated steal syndrome 
Gregg A. Miller, Naveen Goel, Alexander Friedman, Aleksandr Khariton, Manish C. Jotwani, Yevgeny Savransky, Konstantin Khariton, William P. Arnold, Dean C. Preddie 
Kidney International 
Volume 77, Issue 4, Pages (February 2010)
DOI: /ki
Copyright © 2010 International Society of Nephrology Terms and Conditions

2. Figure 1
Steal syndrome in a brachiocephalic fistula with distal hypoperfusion.
Kidney International  , DOI: ( /ki )
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3. Figure 2
Primary band patency for dialysis-associated steal syndrome (Steal) and High Flow patients (24 months).
Kidney International  , DOI: ( /ki )
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4. Figure 3
Secondary access patency for dialysis-associated steal syndrome (Steal) and High Flow patients (24 months).
Kidney International  , DOI: ( /ki )
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5. Figure 4
Band sizing nomogram. The sigmoidal function lines represent arteriovenous fistulas of varying diameter (0.5–4 cm) and the percentage of lumen reduction necessary to significantly reduce total access flow.
Reprinted with permission from Murray et al.24
Kidney International  , DOI: ( /ki )
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6. Figure 5
An inflated angioplasty balloon is used as a sizing dowel inside the access. Two parallel, lateral 0.5 cm incisions are made approximately 1–3 cm from the arteriovenous anastomosis.
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7. Figure 6
A peri-access tunnel is dissected subcutaneously using Kelly clamp blunt dissection, and a 2-0 monofilament ligature of Prolene is pulled under the access.
Kidney International  , DOI: ( /ki )
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8. Figure 7
The suture is looped over the access (under the skin) using a Kelly clamp.
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9. Figure 8
Following the Minimally Invasive Limited Ligation Endoluminal-Assisted Revision (MILLER) banding procedure, the resistance band redirects flow, improving distal perfusion, and alleviating symptoms.
Kidney International  , DOI: ( /ki )
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